Wednesday, November 26, 2014

Thanksgiving, which is celebrated
in this country across cultures, religions, ethnicity, geography and
socio-economic levels, is an emotional mile marker. It brings to the table and
to the mind and heart, those we love, those we will call to exchange loving
sentiments, and those we love but who we have lost this year or many years ago.

Grieving For A Loved One Is
Difficult During The Holidays.

Some say that the first
Thanksgiving is the most difficult because the absence of the loved one is as
startling as it is dreaded. It reminds us almost viscerally of the reality of
the loss.

For those who have suffered
a sudden and traumatic loss, Thanksgiving can feel impossible with the
pain they are holding.

Many report that they
hardly know how they got through the day as they felt a combination of numbing,
anger and disbelief, even as they cooked the turkey, sat with relatives, held
babies and connected with family as best they could.

Still others say that the
passage of years doesn’t lessen the tears or heartache. There is something
about the Holidays, particularly Thanksgiving, that bring back feelings of love
and loss as you look around the table.

A New Perspective on
Grieving.

One way to handle
Thanksgiving if we are grieving for a loved one is to reconsider the meaning of
grieving.

Whereas early psychological
theory always associated grieving with “letting go,” newer relational perspectives remind us that our
sense of self is based on the relationships we have and those that we carry
within us.

From this newer
perspective, the role of grieving is not to “let go” but “ to hold on” in a
different way.

Grieving becomes a journey
to preserve our attachment to a lost loved one, to connect in our head
and our heart in a way that transcends loss.

How is This Possible?

This is not easy, simple or
quick, but it is a psychologically possible and emotionally restorative.

It is not incompatible with
the holidays. In fact, it may be helped by the holidays.

It means going on while
holding on-with tears, without closure, with a brick of pain in your pocket,
with a mix of memories, with the fear of forgetting– as well as with the need
to remember the stories, the names, the laughter, the moments, the loved one.

As Louise Kaplan invites in
her book, No Voice is Ever Wholly Lost, it means that
the dialogue with a loved one can go on and become a way of maintaining
psychological connection.

It means having the
realization that the physical death of your loved one is not the end of your
attachment.

Grieving for My Mother This
Thanksgiving

This will be the first
Thanksgiving without my mother. She died at 95 years, a few days after
Christmas when she saw her great granddaughter for the first time. She had
waited.

Throughout these months, it has
been too easy to forget that she is gone.

I have often been riding in my car
thinking of something funny that I have to tell her, only to remember with
some tears that I’m not going to tell her anymore.

Sometimes, I might remember
something I could have changed or some way that she struggled. The sadness
washes over me. It passes…

Sometimes I ask her if she can
believe what is going on. Sometimes I ask for her help.

When I can, I remind myself that I
am not going to forget the stories she told, the songs she loved or how
much I loved making her laugh.

This Thanksgiving, in my
heart and mind and despite my missing her, she will be there. As a person who
loved to cook and loved watching family and friends eat even more than cooking,
she will be remembered in the stories told and in the family rituals carried on
by friends, children and grandchildren.

At some point when I am
reminding my children of something they already know, they will tell me,” You
are turning into Nauna.” At other times I will hear myself speaking and think
the same thing.

But isn’t that the way it
goes? Isn’t that the way we carry those we love?

Grieving is never easy but
it can be a process of re-connection even during the Holidays.

This Thanksgiving, hold on
to those you love who surround you and carry those you love who you have
lost—They will be an enduring presence in your life.

Suzanne B. Phillips, Psy.D., ABPP is a licensed psychologist. She is
Adjunct Professor of Clinical Psychology in the Doctoral Program of Long
Island University and on the faculty of the Post-Doctoral Programs of
the Derner Institute of Adelphi University. Suzanne Phillips, PsyD and
Dianne Kane are the authors of Healing Together: A Couple's Guide to
Coping with Trauma and Post-Traumatic Stress.
Learn more about their work at couplesaftertrauma.com
.

Monday, November 24, 2014

It’s another late night at the
office – you’re going on 60 hours this week. You’re working on a project
you know your boss is going to throw right back into your face. You finally
make it home, only to pass out on the couch, wake up and repeat your own
hellish version of "Groundhog’s Day." And somewhere between all the
meetings, revisions and stress, you snap.

It’s called a nervous breakdown, and
though it’s not an officially recognized diagnosis, clinical
psychologist Denee Jordan says it’s a perfect descriptor of what the
body goes through.​ “It’s similar to running a car without stopping or
taking care of it until it just breaks. Our system shuts down due to the
mounting stress,” says Jordan, director of mental health
services for the Exceptional Children’s Foundation, an organization
that helps children and adults with emotional or developmental issues.

Stress has become such a part of our
lives that we often think it’s normal to feel that way, Jordan adds, and it
keeps building until we can’t take it anymore. “We’re bombarded with
impossible expectations,” she says. “We’re encouraged to be​ burnt out. The
employee that works 17 hours a day is the one who gets the employee of the
month award, but then feels ashamed when he can no longer keep up the pace.”

Recognizing the Warning Signs

Nervous breakdowns don’t sneak up on
you, unless you let them. There are warning signs and symptoms that you’re pushing
your body too far, says Jonathan Jackson​, director of the Center for
Psychological Services and Field ​​Training at Adelphi University in New
York. “It means quite a number of different things to different people, but
there are some common experiences that we can identify,” he says.

Some people show symptoms that can
seem like the symptoms of a severe mental illness, Jackson says. “They can
experience an inability to distinguish what is real from what is imagined,
including delusions and hallucinations,” he says. “These symptoms can be so
disruptive that the person who is suffering them is unable to perform ordinary
activities. It's pretty easy to identify people who are in the midst of this
sort of breakdown, because they can't manage their distress, so they can't hide
it.”

others, it’s much more subtle.
“It could be a depression that takes hold slowly at first, and
builds to the point that the person has lost interest in life, feels hopeless
and has no energy to perform ordinary activities,” Jackson says. “This
presentation is not as easy to identify because it comes on slowly and because
people who are suffering this way often hide or deny it.”

When you deny how much stress you’re
under and let it build, the symptoms can get worse, Jordan says. “The more
stress we encounter, the higher our baseline gets,” she says. “We begin to
tolerate more and more stress in our lives, and it just spirals from there.”